. Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-operative care after open-heart surgery - CORRECT
... [Show More] ANSWER Provider orders
2. Which information in a patient's electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levels - CORRECT ANSWER MAR
3. A nurse is planning the care for a patient admitted to the hospital with COVID-19 Which list of information in the electronic medical record (EMR) will help the nurse plan the care for this patient - CORRECT ANSWER The patient's laboratory results over the last 72 hours
4. Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USC DI) standards - CORRECT ANSWER Psychotherapy notes
5. Operating room (OR) staff are reliant upon a manual white board for patient tracking. Recently, surgeons have complained that the turnaround time between surgical cases has increased & blame the manual tracking system. An informatics nurse recommends expanding use of the existing surgical information system (SIS). Which resolution can improve this workflow issue - CORRECT ANSWER Radio frequency identification (RFID) in patient labels
6. An informatics nurse & an emergency nurse are conducting an analysis of a patient admission from the ER - CORRECT ANSWER Which tool should these nurses use for a process analysis? SWOT template
7. What is an effective way to reduce the risk of access of electronic protected health information (ePHI) by unauthorized users - CORRECT ANSWER Make sure all the users adhere to security & confidential policy set forth by the facility
8. How does a healthcare policy assure access to health information by authorized users - CORRECT ANSWER It creates a reliable method to verify the identities of users accessing health information
9. Which statement describes the application of meaningful use - CORRECT ANSWER Provider needs to show the use of the Electronic Health Record (EHR) technology
10. What is the typical role of the informatics nurse - CORRECT ANSWER Plans, coordinates, & facilitates education for all computer applications & software for nursing or clinical user group
11. A patients glucose blood sugar is 400. What is a one-time kind of report - CORRECT ANSWER Ad Hoc
12. Which clinical information technology enables providers to document patient assessments - CORRECT ANSWER Vitals signs capture
13. A patient is being transferred to another hospital, however the hospital he is being transferred to does not have access to the Electronic Health Record (EHR) since they use EPIC. How will they receive his Electronic Health Record (EHR) - CORRECT ANSWER Continuity care record from AMR
14. Which statement best describes Nursing Informatics - CORRECT ANSWER "Computer science, decision science, information science, management science, cognitive science, & organizational theory."
15. The nurse receives report that there are new orders to review. Where does the nurse look to verify this information - CORRECT ANSWER The Kardex
16. What is the goal of Merit-Based Incentive Payment System (MIPS) & Meaningful Use (MU) - CORRECT ANSWER Patient quality care
17. What is a type of phishing - CORRECT ANSWER Trojan
18. What is Data governance - CORRECT ANSWER Defines who can take what action, upon what data, in what situations, using what methods
19. A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach - CORRECT ANSWER Encryption
20. What is the name of the process that begins with conception & continues through implementation - CORRECT ANSWER Systems Development Life Cycle (SDLC)
21. What is the intent of the Clinical Decision Support (CDS) System - CORRECT ANSWER This is an application that supports healthcare practitioners in making patient-care decisions
22. What is the term for sharing a person's personal information with other individuals electronically - CORRECT ANSWER Information sharing
23. When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Where should the nurse find this information - CORRECT ANSWER The intake & output chart
24. Why is it important to control the number of warnings in Electronic Health Record (EHR) - CORRECT ANSWER Alert fatigue
25. Which change theory begins with creating urgency - CORRECT ANSWER Kotter's Models
26. Which act in 2009 did Meaningful Use (MU) originate - CORRECT ANSWER American Recover & Reinvestment Act (ARRA) act in 2009
27. What is the primary concern driving Nursing informatic initiative - CORRECT ANSWER Patient safety
28. What can be installed to allow one operation to access another to enable the exchange of data - CORRECT ANSWER Integration
29. Which type of chart uses rectangle, oval & diamonds in both - CORRECT ANSWER Flowchart
30. What is the intent of the Clinical Decision Support (CDS) System - CORRECT ANSWER Providing clinicians with knowledge & person specific information
31. Information may be kept secret to those with an only need to know - CORRECT ANSWER What is this? Information privacy is the right to choose the conditions under which information is shared, & to ensure the accuracy of collected information.
32. Which statement defines interoperability - CORRECT ANSWER The extent to which systems & devices can exchange data & interpret that shared data.
33. Which two statement defines healthcare informatics - CORRECT ANSWER Standardized languages & terminologies to ensure consistent meanings across all settings
34. What is a physical safeguard of ePHI - CORRECT ANSWER Lock on hard drive. Facility Access Controls Workstation Use Workstation Security - Device & Media Controls
35. What is a technical safeguard ePHI - CORRECT ANSWER Access control. Audit controls. Authentication.
36. Which government agency recommended to use of bar code medication administration - CORRECT ANSWER FDA
37. What describes an example of opt-in or opt-out choice regarding the disclosure of personal health information - CORRECT ANSWER Your information be sent to another facility
38. What is an important security consideration related to the use of email application to send & receive patient data - CORRECT ANSWER Emails have the potential to go to other users
39. What are the maximum penalties for refraining from full participation in the Merit-Based Incentive Payment System (MIPS) in years 2017 through 2024 - CORRECT ANSWER Merit-Based Incentive Payment System (MIPS) penalty for failing to comply? 3-8%
40. Which government organization oversees the meaningful use program - CORRECT ANSWER CMS
41. Where are POLST (advanced care directives) found on the computer - CORRECT ANSWER Media tab
42. What Meaningful use stage can you generate & transmit Rx electronically - CORRECT ANSWER Stage 3
43. A nurse has a new order for an anti-arrhythmic drug via IV drip. What needs to be done before this medication can be safely administered - CORRECT ANSWER Use the 5 rights of medication administration
44. What item describes a basic network code that determines the roles used to create & route packets of data between network devices - CORRECT ANSWER Interface
45. A laboratory manager requested a report of all patients that had a blood glucose greater than 400 mg/dL for the month of July to provide to the corporate office. Which type of report should the nurse informaticists create using information stored in the electronic health record for this one-time request - CORRECT ANSWER Short time report
46. A Nursing Innovator & medsurg nurse want to capture how many patients were seen in a day of 24 hours, how would they best see this - CORRECT ANSWER Flowsheet
47. What is the first thing patients should do to access their health records - CORRECT ANSWER Ask for access to their documents
48. Process for discovering root causes of problems & ID the solution - CORRECT ANSWER Root cause analysis
49. Where do you document a patient's allergy - CORRECT ANSWER History & physical
50. What facility first used the Barcode Medication Administration (BCMA) - CORRECT ANSWER Veterans hospital of Topeka, Kansas
51. If your patient's barcode bracelet is not working & you needed to pass meds what would you do - CORRECT ANSWER Check the armband for damage, change the band if necessary
52. Which is a physician's clinical informatics assessment - CORRECT ANSWER Vital signs
53. What are the ICD ICD10 international classification of diseases - CORRECT ANSWER LOINC & SNOMED
54. Provider wants you to change an order what tab would you look under - CORRECT ANSWER Order summary tab
55. There are different systems for L&D & the hospital, how would you check for orders & medications - CORRECT ANSWER Log out of L&D system & log into the Hospital system
56. What should providers have on their personal mobile devices to protect it from sharing information when stolen - CORRECT ANSWER Authentication & encryption
57. Which government agency recommended the use of the barcode medication administration - CORRECT ANSWER ONCHIT
58. What are two barriers of adopting the Clinical Decision Support (CDS) in an Electronic Health Record (EHR) - CORRECT ANSWER Limited resources & Communication information exchange
59. Which stage of the Systems Development Life Cycle (SDLC) would data be collected from the systems users regarding their analysis - CORRECT ANSWER Needs
60. Where is the continuity of care documented - CORRECT ANSWER Electronic Health Record (EHR)
61. Which phase of the system life cycle involves using needs assessment to identify the exportation of the system - CORRECT ANSWER Needs/Design
62. A physician's group would like to change the current EBP protocol for treating asthma. How should the IN determine validity of the new EBP protocol - CORRECT ANSWER Solid clinical trials
63. Which Merit-Based Incentive Payment System (MIPS) merit-based incentive payment system performance replaces Meaningful Use (MU) for physicians - CORRECT ANSWER HITCECH act
64. Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needs to be completed during the shift - CORRECT ANSWER Workflow
65. When developing new clinical workflow, what is one of the first steps that should be taken - CORRECT ANSWER Review old progress & old documents
66. You are contacted by a confused user because their legend changes on each screen they go into, would you tell them - CORRECT ANSWER The screen symbols change on each screen depending on the activities done
67. Which feature will allow a user to navigate between authorized applications & resources within a single organization - CORRECT ANSWER Interface
68. A nurse is entering a verbal medication order & encounters a warning the entry is a duplicate. Which action does the nurse take - CORRECT ANSWER Call MD & verify order & MD enter order remotely
69. What are three common reasons for HIPPA violation citations - CORRECT ANSWER 1. Lost or stolen unencrypted devices, 2. Social media postings, 3. Taking a patient photo with a personal phone
70. Which item enhances interoperability between organizations when exchanging patient data electronically - CORRECT ANSWER Continuity of Care Document (CDD) or Continuity of Care Record (CCR) via direct messaging
71. What plays a primary role in the usability of an Electronic Health Record (EHR) - CORRECT ANSWER Clinical workflow & efficiency
72. Stored information in the Electronic Health Record (EHR) can be instantly searched, retrieved, combined, & reported in different ways. What is this describing - CORRECT ANSWER Data integrity
73. What is nursing informatics a combination of differentiating it from other nursing disciplines - CORRECT ANSWER Nursing, information, & analytical sciences
74. Which two statements define healthcare informatics (HI) - CORRECT ANSWER A tool to improve practice & patient care. A field that involves the secure sharing of information
75. Which Electronic Health Record (EHR) challenge can a nurse informaticist help support & change - CORRECT ANSWER Analyzing & redesigning workflows
76. Which task is representative of the role of the nurse informaticist - CORRECT ANSWER Acting as a superuser
77. At a nursing facility, the recent quality report details only 30% of patients received the influenza vaccine in the prior flu season. Nurses within the medical unit state the result is too low. Which area should an informatics nurse review to understand the quality report results - CORRECT ANSWER Electronic Health Record (EHR) charting data
78. What should an informatics nurse do to support the entry of standardized data into an electronic health record (Electronic Health Record (EHR)) - CORRECT ANSWER Use terminologies approved by the ANA
79. A new computerized provider order entry is being implemented in the hospital. The nurse informaticist plays a role in all areas of this implementation. Which measure is crucial for a successful implantation - CORRECT ANSWER Workflow design
80. When deciding on a technology tool for the delivery of EBP information, which information should the nurse informaticist seek - CORRECT ANSWER Information that is accurate, timely, complete, concise, & relevant
81. EBP is essential for clinical decision making. Which model supports EBP - CORRECT ANSWER Problem, intervention, comparison, outcome, time (PICOT)
82. What did meaningful use promote - CORRECT ANSWER Increased interoperability
83. Which statement describes the application of meaningful use - CORRECT ANSWER Patient satisfaction is improved, which results in better patient satisfaction scores
84. What describes the goal of Electronic Health Record (EHR) incentive programs, such as meaningful use - CORRECT ANSWER To promote the achievement of quality, safety, & efficiency measures
85. In conducting & providing a quality audit, it was noted the provider was free texting data instead of selecting the proper codes to capture & bill for their services. When educating this provider on properly selecting codes & decreasing free texting what is a rationale for why this is important - CORRECT ANSWER Interoperability
86. The use of standardized data sets is critical for Electronic Health Record (EHR). Which 2 standards support the interoperability of healthcare data - CORRECT ANSWER DICOM standards. Health Level 7 standards.
87. What is the responsibility of a superuser - CORRECT ANSWER To support the system in a given unit & assist users with functionality & procedural issues
88. A nursing clinical analyst is being interviewed by a nursing student who is requesting a detailed explanation of the role of a nursing informaticist. Which nursing informaticist goals would this clinical analyst offer in response - CORRECT ANSWER The goals facilitate an environment where technology, information, & understanding directs nurses' judgment
89. What is the role of the informatics nurse working with Electronic Health Record (EHR) - CORRECT ANSWER To improve patient safety
90. What is a reason to have standardized terminology within a healthcare setting - CORRECT ANSWER It provides the effective exchange of information between providers
91. What is the harmonization of terminologies - CORRECT ANSWER It fosters interoperability in health information systems
92. Which item describes a basic network code that determines the rules used to create & route packet of data between network devices - CORRECT ANSWER Transmission control protocol/internet protocol (TCP/IP)
93. What can be installed to allow a device to connect to the Electronic Health Record (EHR) to enable the exchange of data - CORRECT ANSWER An application program interface
94. How does the health information exchange (HIE) improve interoperability within a healthcare organization - CORRECT ANSWER It allows patient information to be accessible despite where the patient is receiving care
95. What are connectivity systems - CORRECT ANSWER They support the integration of data across different organizations
96. A patient goes to a clinic's office complaining of a cough. The physician orders a chest X-ray & sends the patient to the radiology department. The clinic's admitting department & the radiology office use different information systems. What is used to locate the record in each of these different systems - CORRECT ANSWER Master patient index
97. Health systems can be inoperable with other health systems. What are 2 barrier that prevent interoperability - CORRECT ANSWER Data blocking. Interface cost.
98. What is considered to be clinical decision support (Clinical Decision Support) within the Electronic Health Record (EHR) - CORRECT ANSWER The condition or disease-specific order sets.
99. Unit managers want to be assured nurses are signing completed clinical documentation. What can managers do to determine documentation completion - CORRECT ANSWER Randomly run Electronic Health Record (EHR) reports & list noncompliant nurses.
100. Which area of the Electronic Health Record (EHR) is used to guide a nurse on the tasks that need to be completed during the shift - CORRECT ANSWER The worklist
101. On admission, a patient reports several allergies. Where does the nurse confirm the documentation of this information - CORRECT ANSWER In the patient summary tab or history & physical
102. A nurse has a new order to begin antiarrhythmic medication via IV drip. What needs to be done electronically before this medication can be safely administered - CORRECT ANSWER Scan the patient's armband & the medication
103. What is the primary purpose of a clinical decision support system (Clinical Decision Support (CDS) System) - CORRECT ANSWER It provides clinicians with suggested care information
104. How is clinical decision support system (Clinical Decision Support (CDS) System) represented in an Electronic Health Record (EHR) - CORRECT ANSWER Through alerts & reminders
105. In a healthcare setting, there is resistance towards using a new Electronic Health Record (EHR). The staff insists the prior system was much faster than navigating this new Electronic Health Record (EHR). Which method should be used to motivate staff to adopt this Electronic Health Record (EHR) - CORRECT ANSWER Involve staff in the implementation process
106. Which tool highlights the areas in which information technology can improve efficiency & support an interdisciplinary healthcare team - CORRECT ANSWER A workflow analysis
107. Which statement defines electronic protected health information (ePHI) - CORRECT ANSWER It is information used to specifically identify an individual
108. An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet - CORRECT ANSWER An unregulated network of networks
109. What is role-based access an example of - CORRECT ANSWER Authenticity
110. Which term refers to ensuring confidentiality when sharing a patient's electronic personal health information - CORRECT ANSWER Security
111. What advice should be taken to avoid a security breach of protected health information - CORRECT ANSWER Open emails only from trusted sources, change passwords as stipulated by the organization, & do no leave ePHI visible in an unsecure area
112. What is the first thing patients should do to access their health records - CORRECT ANSWER Use the patient portal email from the healthcare organization to create an account.
113. What represents privacy & security risks for telehealth technology - CORRECT ANSWER Patients have the option to use speakerphone in the telehealth apps
114. What are 3 common reasons for HIPPA violation citations - CORRECT ANSWER Lost or stolen unencrypted devices. Social media postings. Taking a patient photo with a personal phone.
115. An informatics nurse is on a task force planning committee to ensure data storage measures are safe & accessible. Besides the provider & the client, which group's needs are important to consider - CORRECT ANSWER The Joint Commission
116. A restraint committee has been asse [Show Less]